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Depth discrimination was tested behaviourally in adult cats prior to and after chronic section of the ophthalmic branch of the Vth cranial nerve, that contains the majority of oculomotor proprioceptive fibers. Binocular depth discrimination was considerably impaired following either unilateral or bilateral oculomotor proprioceptive deafferentation.
Stereoacuity was measured with an operant conditioning technique in adult cats with unilateral deafferentation of oculomotor proprioception (section of the ophthalmic branch of the fifth cranial nerve). Binocular stereoacuity was found not to exceed monocular depth sensitivity, in contrast to what is obtained in normal cats. The results confirm previous findings and indicate a role of oculomotor proprioception in binocular depth perception of the cat.
With a view to analyse the influence of neck proprioceptors on directional hearing, evoked potentials (EPs) to dichotically or monaurally presented clicks were recorded from the auditory cortex of cats under deep Nembutal anaesthesia with their head pointing to the front, and then to the right or to the left side at 45 degrees. The change in the head position produced considerable changes in the amplitude of the two primary EP components and in their thresholds. The changes were of two kinds: either decrease or increase of the amplitude. At symmetrical points of the auditory cortex they went in the same direction. The also appeared in the associative zone with the same sign. With monaurally presented clicks, the change of the side of stimulation for the most part resulted in a reversal of the sign of the proprioceptive effect. Similar proprioceptive influences were recorded when the clicks were presented not through earphones but in an open acoustic field.
In the present work we sought to examine the idea that an internalized representation of space can be formed and used in the absence of visual information. To this end human subjects were trained to locate 5 points within a horizontal plane at shoulder level, under guidance of an acoustic signal. Next, reaching accuracy was determined for both the trained and the untrained hands without external cues. This allowed comparison of hand positioning that could be based upon a memory trace or proprioceptive inputs (trained hand) to hand positioning that must be based upon a more abstract internal representation than proprioceptive memory (untrained hand). The effect of training on reach accuracy of the two hands and the effect of prolongation the time interval between guided and recall (unguided) trials were studied. Finally, subjects were asked to interpolate between already learned target positions, a procedure which tested their ability to utilize an abstract construct of space. The relative contribution of the elbow and shoulder joints to reaching errors was determined. This analysis served to evaluate whether representation of spatial locations was based on joint angle coordinates, or on a more abstract extracorporeal reference system. Our results indicate that a memorized sensory image of the limb, which corresponds to the hand being at the target position, is used whenever possible. An abstract representation of position is used whenever comparison of the actual sensory input to a memorized sensory trace is made impossible, costing an approximately 25% reduction in accuracy.(ABSTRACT TRUNCATED AT 250 WORDS)
Two experiments were performed to determine if proprioceptive signals are perceived more readily in terms of limb segment inclinations to the vertical than as joint angles. Subjects attempted to match arm positions with the upper arms supported at different inclinations. Constant error data showed that, when instructed to match forearm inclinations to the vertical, subjects were very accurate. When required to match elbow joint angles, however, errors were strongly biased in the direction of matching forearm inclinations. The results support a view of proprioception as a system in which afferent signals related to the gravitational torques acting at joints lead to the perception of limb orientation rather than joint angles. Such a system would allow more efficient determination of the relationship of limb segments to external objects than would one based purely on joint angles.
The eyeball and the extraocular muscles are used as a paradigm to design a linear spatial model of a single joint with a redundant set of muscles. On the basis of this model relations are derived between orientation, torque, motor commands, and proprioceptive signals. These relations show that the tenet underlying the tensorial interpretation of neural signals in sensorimotor systems does not have general validity. A mechanism is proposed to show how proprioception may play a role in optimizing the coordination of muscles during spatial tasks. Further, a new concept is suggested that allows one to predict the neural connectivities mediating the redundant spatial vestibulo-ocular reflex. This concept has the advantage of minimizing both sensorial error and motor effort.
BACKGROUND: Activation of muscle spindles by vibration of eye muscles is known to induce illusory movements of fixated targets, but the effects on eye position have not been studied, either in normal subjects or in patients with exotropia. METHODS: Eye position was recorded from the covered, non-dominant eye with an infrared system in 11 subjects with normal eyes and binocular vision and in 10 patients with exotropia and abnormal binocular function. Activation of eye muscle spindles was done by vibration at 70 Hz of the inferior and lateral rectus muscles of the dominant eye, fixating a light-emitting diode in subdued light. RESULTS: Vibratory activation of proprioceptors in the inferior rectus muscle induced an eye movement mainly directed upward in both normal and exotropic subjects. The magnitude of the movement was on average 2.7 deg in normals and 2.4 deg in exotropes. Lateral rectus vibration induced a movement that was mainly temporally directed (abduction) of an average 2.1 deg in normal subjects, but a nasally directed (adduction) movement of 4.2 deg in exotropic subjects. In normal subjects the eye movement is of the same direction as the earlier reported visual illusory movements induced by the same type of proprioceptive activation, but in exotropic subjects the movements is in the opposite direction. CONCLUSIONS: Proprioceptive activation of eye muscles affects eye position, and the results also indicate that signals from eye muscles are processed differently in normals and strabismics, probably depending on the level of binocular function.
The autistic child's presumed preference for proximal rather than distal sensory input was studied by requiring that autistic, retarded, and normal subjects adapt to a prism-induced lateral displacement of the visual field. Only autistic subjects demonstrated transfer of adaptation to the nonadapted hand, indicative of a reliance on proprioception rather than vision to accomplish adaptation. Such reliance on proprioception was explained as an alternative strategy compensating for an inability to use current visual control of reaching rather than as a preference for proximal information per se.
The ankle joints of 14 healthy volunteers and 16 patients with unstable ankle joints were tested regarding their functional and proprioceptive capabilities. All of them were active athletes. Three tests were used of the study: single-leg stance test, single-leg jumping course test, angle-reproduction test. The influence of three stabilization devices (lace-on-brace/"Mikros", stirrup-brace/"Aircast", taping) on the proprioceptivity of stable and unstable ankle joints was evaluated. The scores of the single-leg jumping course without any stabilizing device (category "standard") ranged between 8.06 and 13.68 (10.65 +/- 1.29). In the categories "Mikros" (9.85 +/- 0.99), and "Aircast" (9.99 +/- 1.14) as well as with the tape bandage (10.27 +/- 0.81) better scores were achieved. The differences "standard vs. Mikros" and "standard vs. Aircast" revealed a significant reduction of the scores with orthoses (P < 0.01). The error rate in the single-leg stance test was within the range of 0-16 (5.12 +/- 2.85) for the category "standard". It was lower for the categories "Mikros" (3.65 +/- 2.65) and "Aircast" (4.17 +/- 2.59). The error rate was highest in the group with a tape bandage (5.79 +/- 3.53). The differences "standard vs Mikros" as well as "standard vs. Aircast" were significant (P < 0.01). There was also a significant difference between these categories regarding injured and not injured ankle joints (P < 0.01). The angle-reproduction-test showed higher values for the category "standard" (2.36 degrees +/- 0.97) in comparison to the categories "Mikros" (1.46 degrees +/- 0.72), "Aircast" (1.62 degrees +/- 0.91) and "taping" (1.84 degrees +/- 0.41).(ABSTRACT TRUNCATED AT 250 WORDS)
We performed a clinical study examining 60 volunteers with stable shoulder joints randomized to two groups. In group 1 we injected 5 ml lidocaine intra-articularly. In group 2 we injected 5 ml saline with 5 ml contrast dye the same way. After the injection we measured the amount of passive anteroposterior translation that occurred during anterior and posterior drawer tests and the amount of inferior subluxation during downward stress. We documented the extent of the passive glenohumeral translation using ultrasound. We had no complications related to the intra-articular injection or to the stability measurement. After the injection neither group had significant pain, and the patients were not apprehensive about the ensuing stability test. In group 1 (lidocaine) anteroposterior translation of 13.2 +/- 6.3 mm was seen in the anterior and posterior drawer test, whereas in group 2 (no lidocaine) the anteroposterior translation was only 6.8 +/- 3.2 mm. The difference between the two groups was statistically significant (P < 0.05). With downward stress during the sulcus test the distance between the acromion and the humeral head increased by 5.6 mm (+/- 3.2) in group 1 and by 2.7 mm (+/- 2.1) in group 2. This difference was also statistically significant (P < 0.05). Clinical consequences: Taking our preliminary findings into account, the capsule of the glenohumeral joint seems to have proprioceptive capability. Nerve fibres and mechanoreceptors seem to be localized in the capsule tissue, being part of a physiological feedback mechanism. If our conclusions proprioceptive capability. Nerve fibres and mechanoreceptors seem to be localized in the capsule tissue, being part of a physiological feedback mechanism.
The objective of this study was to quantify the effect of degenerative joint change on the proprioceptive acuity of women with osteoarthritis (OA) of the knee. Middle-aged women with OA of the knee, age-matched healthy women, and younger healthy women were studied. Tests examined the ability of subjects to correctly reproduce knee angles in weightbearing and non-weightbearing situations. The knee angles were photographed and measured in degrees. The absolute error (AE) of each matching test was calculated and the mean AE of two tests was used as the criterion variable in a three-way analysis of variance (ANOVA). The relationship between the reproduction error and the osteoarthritic subjects' self-paced walking speed was also examined. Under both test conditions the AE of the osteoarthritic subjects was greater than that of the healthy subjects (p < .05). There was, however, no significant relationship between the AE measurements of the patients and their walking speed. These data indicate that while women with OA may have poorer proprioception than healthy controls, this impairment may not affect their walking ability.
A new method for the restorative treatment of patients with residual-stage infantile cerebral palsy is described; the method is based on proprioceptive correction using an "Adeli-92" device, which is a modified space suit used in weightless conditions. The "Adeli-92" allows intensification and some extent of normalization of afferent proprioceptive mobility-controlling input. Positive clinical effects were obtained in 70% of patients, with improvements in walking and self-care ability. The positive effects of this method were demonstrated objectively using electroencephalography, electroneuromyography, studies of somatosensory evoked potentials, and studies of the vestibular system.
Limited knowledge is available regarding the processes by which the brain codes the velocity of visual targets with respect to the observer. Two models have been previously proposed to describe the visual target localization mechanism. Both assume that the necessary information is derived from the coding of the position of the eye in the orbit, either through a copy of the muscular activation (out flow model) or through eye muscle proprioception (in flow model). Eye velocity coding might be derived from velocity sensitive ocular muscle proprioceptors or from position coding signals through differentiation. We used techniques based on manual pointing and manual tracking of visual target, combined with passive deviation of one covered eye, to demonstrate that ocular muscle proprioception is involved in (i) eye-in-head position coding, hence in target localization function; (ii) long-term maintenance of ocular alignment (phoria); and (iii) sensing of visual target velocity with respect to the head. These observations support other data now available, describing the processes by which the brain codes position and velocity of visual targets. Such findings might interest engineers in the field of robotics who are facing the problem of providing robots with the ability to sense object position and velocity in order to create an internal model of their working environment.
The anterior capsulolabral reconstruction according to JOBE [13] is a modification of the Bankart operation. The capsular shift is performed via a subscapularis-split approach avoiding any incision into the musculature. A total of 43 patients with posttraumatic, chronic anterior shoulder instability underwent surgery. All patients had at least four dislocations preoperatively. Thirty-five patients were examined after an average of 3.7 +/- 1.4 years. Twenty-nine (82.9%) of these patients were free of pain, with functional assessment showing a mean external rotation deficit of 4.1 degrees +/- 2.9 degrees without any further movement restrictions. On average, a Rowe-Score of 86.1 +/- 12.4 points and an ASES-Score of 93.3 +/- 8.4 were achieved. The reluxation rate was 7.7%. The study demonstrated that despite the good clinical results, only 69% of patients were able to return to their previous sports activity level. This special problem is in agreement with other similar studies [4, 18] so that this relevant fact was further addressed by determination of proprioception and electromyographic muscle activity. Postoperatively, in contrast to other studies [1, 21, 24], a persisting proprioceptive deficit as well as an altered EMG pattern was found together with a significant reduction in activity of the deltoideus muscle on the operated side. These results may explain the problem to achieve complete restitution of the function of the shoulder joint after capsulolabral reconstruction.
The purpose of this study was to investigate the effects of isokinetic exercise on strength, joint position sense and functionality in recreational athletes with functional ankle instability (FAI). Strength, proprioception and balance of 24 recreational athletes with unilateral FAI were evaluated by using isokinetic muscle strength measurement, ankle joint position sense and one leg standing test. The functional ability was evaluated using five different tests. These were; single limb hopping course (SLHC), one legged and triple legged hop for distance (OLHD-TLHD), and six and cross six meter hop for time (SMHT-CSMHT). Isokinetic peak torque of the ankle invertor and evertor muscles were assessed eccentrically and concentrically at test speeds of 120 degrees /s. Isokinetic exercise protocol was carried out at an angular velocity of 120 degrees /s. The exercise session was repeated three times a week and lasted after 6 weeks. At baseline, concentric invertor strength was found to be significantly lower in the functionally unstable ankles compared to the opposite healthy ankles (p < 0.001). This difference was not present after executing the 6 weeks exercise sessions (p > 0.05). Ankle joint position sense in the injured ankles declined significantly from 2.35 +/- 1.16 to 1.33 +/- 0.62 degrees for 10 degrees of inversion angle (p < 0.001) and from 3.10 +/- 2.16 to 2.19 +/- 0.98 degrees for 20 degrees of inversion angle (p < 0.05) following the isokinetic exercise. One leg standing test score decreased significantly from 15.17 +/- 8.50 to 11.79 +/- 7.81 in the injured ankles (p < 0.001). Following the isokinetic exercise protocol, all of the worsened functional test scores in the injured ankles as compared to the opposite healthy ankles displayed a significant improvement (p < 0.01 for OLHD and CSMHT, p < 0.001 for SLHC, TLHD, and SMHT). These results substantiate the deficits of strength, proprioception, balance and functionality in recreational athletes with FAI. The isokinetic exercise program used in this study had a positive effect on these parameters.
The glenohumeral joint, because of its relatively poor osseous and capsuloligamentous stability, depends upon the proprioceptive and stabilizing capabilities of musculotendinous structures more than any other joint in the human body. The purpose of this review is to compare the morphology, histology, and sensorimotor functional relationships of the human glenohumeral joint with the more abundant animal research data. From a synthesis of this information, a proprioceptive and stability alliance is proposed for the human glenohumeral joint which is initiated by mechanoreceptor activation from capsuloligamentous and musculotendinous structures, resulting in reflex-mediated protective muscular responses that are ultimately under the bias and sensitivity control of upper levels of the central nervous system hierarchy. The clinical impact of these findings as they relate to rehabilitation and conditioning strategies, surgical intervention, aging, and injury are discussed in addition to future research directions.
When a participant moves a hand-held target in complete darkness after an afterimage of that target has been obtained, an illusory increase (with movements away from the participant) or decrease (with movements towards the participant) in the apparent size of the afterimage is reported (the Taylor illusion, reported first in Taylor, J Exp Psychol 29: 1941). Unlike typical Emmert's Law demonstrations, the Taylor illusion shows that a motor-related signal can be used to specify distance for the computation of real size. A study by Carey and Allan (Exp Brain Res 110: 1996) found that the Taylor illusion did not occur in a condition where an afterimage of one hand was obtained while the other hand performed a movement away from the participant from directly behind the first. It was proposed that, for the illusion to manifest itself, proprioceptive and visual information must be in strict "register" when the afterimage is obtained. To evaluate this hypothesis, 14 participants performed "towards" and "away" movements after obtaining afterimages of hand-held cards. Participants wore either plain lenses or prism lenses during the trials, the latter of which displaced visual stimuli 10 degrees to the left. No significant difference was found between the two lens conditions in terms of the effect on the perception of the Taylor illusion. It was concluded that the illusory size distortions may depend on register of visual and proprioceptive position in terms of depth, rather than in the picture plane. Several suggestions for future studies of the Taylor illusion are proposed, and limitations of size judgements of afterimages are outlined.
The development of proprioceptive sensitivity was studied in 140 children between the ages of 5.8 and 11.8 years using a so-called foot-hand task. Ten boys and ten girls were included in each age group. The task required the children to locate a target pin with the "big toe" (felt target) and match the located target position with the hand, without vision. There were four conditions: location of targets by the right big toe: matching located target position with the right hand (RfRh) and left hand (RfLh); and location of targets by the left big toe: matching located target position with the left hand (LfLh) and right hand (LfRh). The results showed a significant developmental trend in proprioceptive sensitivity, when the absolute error scores for boys and girls were combined, with most of the improvement occurring between the ages of 5.8 and 7.8 years. The most interesting and novel finding seems to be the significant two-way interaction between age and sex--the clearest differences manifesting themselves in the age group 9.9 years. Separate within-sex group analyses showed the trend to be determined by the results for the girls, the trend being absent in the results for the boys. Furthermore only the boys showed a significant difference between the intra- and inter-hemispheric conditions. We propose that these differences may only manifest themselves in particular tasks, i.e. there may be a sex-task interaction. The implications of this proposal for theoretical interpretations of the phenomenon of inter-hemispheric processing as well as possible sources of the task differences are briefly discussed.